Lead Billing Coordinator
BrightSpring Health Services
PharMerica
Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!
Schedule: Mon-Fri (8:30am to 5pm)
This is a hybrid opportunity. Applicants must reside in, or commutable distance, to Louisville, KY.
We offer:
- DailyPay
- Flexible schedules
- Competitive pay
- Shift differential
- Health, dental, vision and life insurance benefits
- Company paid STD and LTD
- Tuition Assistance
- Employee Discount Program
- 401k
- Paid-time off
- Tuition reimbursement
- Non-retail/Closed-door environment
Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!
*Position will be posted for a minimum of 7 business days
Responsibilities
Helps manage staff appropriately and sets clear expectations for performance. Work directly with Supervisor to develop audit criteria for productivity/accuracy metrics related to all pre-billing and reporting review. Prioritize and delegate job tasks to ensure timely completion. Support and manage business policies and procedures to maintain workflow standards. Conduct routine meetings with Supervisor and staff to review current state and engage all staff in discussion for improvement. Audit billing functions regularly for compliance to policies, procedures, and contract and government regulations. Assist Supervisor in overseeing daily billing activities per policies and procedures when necessary. Address performance and/or business issues while keeping direct manager informed. Participate on various billing specific sub-groups to identify all attributes for best practice implementation and influence development of policies and procedures as well as identify appropriate training material and educational opportunities. Ensure appropriate, timely and professional communications occurs with implementation team, Account Management team, Community staff as needed. Work and partner with other internal departments. Follow all applicable government regulations including HIPAA. Participate in projects and/or management meetings. Through interim statement review on a monthly basis, ensures charges are accurate. Reviews Community/resident bills and resolves any erroneous charges by adding and removing as necessary, and documenting in the client file with notes. Reviews and reconciles billing statements with private financial plans. Responds to Community/Resident disputes over billing of services. Works with responsible parties, receiving in/out bound telephone calls, providing customer service through explaining why they are being billed. Works with Client Billing Coordinator/Supervisor in researching pharmacy accounts requiring special attention. Help maintain new communities onboarding and master contact sheet, by utilizing QuickBase to track and load information.
Qualifications
High School Diploma/GED required Kentucky Pharmacy Tech License preferred Excellent customer service and communication skills, both written and verbal. Ability to prioritize and meet pre-determined deadlines. Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills. Experience in healthcare billing environment (pharmacy preferred) Familiarization with on-line claims processing and Medicaid and Medicare billing practices. Proficient with Microsoft Word & Excel required.
About Our Line of Business
Pharmacy Alternatives, an affiliate of PharMerica, is a specialized pharmacy provider focused on serving individuals with cognitive or intellectual and developmental disabilities (I/DD). Pharmacy Alternatives offers long-term pharmacy solutions specializing in serving special-needs populations who live in intermediate care facilities, waiver homes, group homes, assisted living, supported-living or foster care. Our state-of-the-art approach includes packaging technology specially designed for the population we serve and electronic medication management that helps people live their best lives.
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